HomeMy WebLinkAbout0008328-Plumbing (repair)
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Name
of
Owner ---
I Block I Ward I Addilion or Replet,
OUTSIDE WORK
Dale
NEW SEWEll WATER STORMS '""S "" RItAY S. SIWE. WATER STORMS ""S
From M8h1 10 Curb Septic Tanks From Main 10 Curb
From Curb to BuDding Electr;c Pumps From Curb 10 Building
Repair ~
INSIDE WORK
NO. NEW UP. USID FEOS NO. NEW REP. "SE. "is j NEW REP. USIa FEES
Bath Tub Garbage DiIpooaIs C- Bullis
-
Wuh Buln Dishwashers Conductorø
- - - - -
Water Cloøl Launclramats Greue C- Billins
SIDle Water Softe....r. Sump Pump II< Ejectors
Wale. Heate" Sanitary Bubbler. Bar and Soda Waste.
Shower Baths UrIDals
Floor Drains Denial Cu.pidors -
LaUllcloy Tubo Seni<:& Sinks
IDipscIioDi Valuation of tho Work Heroin Doscribed Feo Vorified. Receipted and Recorded Received P~it and Inspection Fees
-----.------------ ----Outside $--r.?1. --_'!!!._---------.---- ------- ----- -_._.lL_=_____Sewe. Fees
-------------.--Inside ----------------.Plbg, Fees
~ø5S-- -E1Dal 0; $---.---------.----------------------------..---------- .__._--~-=~:?--Tolal
$------------.-------------------- ___no-on_. -----------c¡iY-ÿ,éä,;;ë;---'- ....-......- ..-. Date
In tb performance of this work the undersigned owner (or his euthorized agent) of s.id premises and his authorized Plumber hereby agree to be bounden by and
submit to all stetutes, city ordinances. end rules and reguiations prescribEd by the Board of Public Work. for the government of Piumbers.
It Is futher agreed by the undersigned that no other uses will b. mode of the above conneclions except es hareinafter listed.
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